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Pitts Baptist Church
Thursday, March 28, 2024
...Strength for the Journey
Preschool & Children's Ministry Registration Form
Welcome to Pitts Baptist Church Preschool & Children's Minsitry! In order to better serve your family, we ask that all children have a registration form with complete contact information on file. Registration is renewed each August to ensure the most up-to-date information for your child. Parents are also reminded that all children MUST have a parent or resonsible ADULT involved in a ministry during activities.
Child's Name
Date of Birth
Age as of August 31, 2012
Select one
under 1
1
2
3
4
5
6
7
8
9
10
11
12
Address
City
Zip
Home Phone
School
Mother's Name
Mother's Cell
Mother's Email
Father's Name
Father's Cell
Father's Email
Emergency Contact Name (Other than a parent)
Emergency Contact Number
Does your child have any food or drug allergies?
Select One
Yes
No
If yes, please provide allergies:
Does your child have any medical conditions?
Select One
Yes
No
If yes, please provide an explanation:
Please select each ministry in which your child will be enrolling:
Sunday School
Select One
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
AWANA
Select One
Nursery (6 weeks - 1 year)
Puggles (2 years by August 31)
Cubbies (3 years by August 31 - Pre K)
Sparks (Kindergarten - 2nd Grades)
T&T (3rd - 6th Grades)
Choir
Select One
Nursery (6weeks - 2 years)
Joy Jammers (3 years - kindergarten)
Harmonic Hearts (1st - 5th Grade)
As the church staff works to partner with and equip the family, we ask that each parent support and be involved with the Preschool & Children's Ministry as a leader, helper, teacher, or as needed.
Due to liability reasons, every child must have a parent/guardian or responsible adult on campus involved in a ministry activity during these times.
I give Pitts Baptist Church permission to use my child's image (names will not be included) on publications including the church web page.
Select One
Yes
No